Organization
SPEECHCO THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BOYER (CREDENTIALING MANAGER)
(502) 538-6333
Entity
Organization
Contact information
Practice address
1123 N BARDSTOWN RD, SUITE #2, MT WASHINGTON, KY 40047-7843
(502) 538-6333
(502) 538-6334
Mailing address
PO BOX 91286, LOUISVILLE, KY 40291-0286
(502) 538-6333
(502) 538-6334
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
09/27/2012
Last updated
09/23/2024
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